MEDICARE: SALAMA HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1750260485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALAMA HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	2010 W BRANHAM LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-7718
Country	:	US
Telephone Number	:	602-218-6842
Fax Number	:	602-218-4462

Provider Business Practice Location Address
First Line	:	2010 W BRANHAM LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-7718
Country	:	US
Telephone Number	:	602-218-6842
Fax Number	:	602-218-4462

Authorized Official
Title or Position	:	ADMINSTRATOR
Name	:	MR. TITUS WAITITU NJUGUNA
Credential	:
Telephone Number	:	469-254-3912

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/27/2025

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